HomeMy WebLinkAboutApplication.pdfSEP 1 Garfield County GARFIELD 'MMUNITY DEVELOflM!!NJIlunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www_garfield-county_com INDIVIDUAL
SEWAGE DISPOSAL SYSTEM (lSDS) PERMIT APPLICATION TYPE OF CONSTRUCTION -New Installation 10 Al teration 1 0 Repair WASTE TYPE 0 Dwelling 10 Transient Use I -Comm/lndustrial 1 0 Non-Domestic
o Other Describe INVOLVED PARTIES Property Owner: Black Diamond Minerals LLC Phone: ( 303 )973-3228 Mailing Address: 1600 Stout St, Suite 1710, Denver CO 80202 Contractor: HP Drilling
Rig 319 Phone: ( 97. ) 263-0872 Mailing Address: 2360 G Road Grand Junction, CO 81505 Engineer: Jamey Brumley -Black Diamond Minerals Phone: ( 303 ) 24 1·2524 Mailing Address: 1600 Stout
St, Suite 1710, Denver, CO 80202 PROJECT NAME AND LOCATION Job Address: P:'Irk -P:'In ?!1 1?!'i-7S-!=l4W\ Assessor's Parcel Number: #245306100005 Sub, mineral srvy (20118) Lot ---Block
--Building or Service Type: work trailers (5) #Bedrooms: 8 Garbage Grinder no Distance to Nearest Community Sewer System: > 2 miles Was an effort made to connect to the Community Sewer
System: N/A Type of ISDS o Septic Tank I 0 Aeration Plant I. Vault I D Vault Privy I 0 Composting Toilet o Recycling, Potable Use o Recycling I 0 Pit Privy I 0 Incineration Toilet o
Chemical Toilet • Other EQc::table Segti!;; Sllslem ~ s~id WQuDled (2 uoit:a) Ground Conditions Oepth to 1$' Ground water table unknown I Percent Ground Slope 1-2% Final Disposal by
o Absorption trench, Bed or Pit I 0 Underground Dispersal I 0 Above Ground Dispersal o Evapotranspiration o Wastewater Pond I 0 Sand Filter • Other tli!ul!i!~ Qft!2~ £Qnlraclor (!.!nil!i!Q
~!i!rvi~!i!s · Rifle COl Water Source & Type DWell I 0 Spring I 0 Stream or Creek I 0 Cistern • Community Water System Name Water Provided b~ United Services IRiRe. CO! Effluent Will
Effluent be discharged directly into waters of the State? DYes • No
CERTIFICATION Applicant acknowledges that the completeness of the application is cond itional upon such further mandatory and additional test and reports as may be required by the local
health department to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the permit is subject
to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the
applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the
same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation
of any permit granted based upon sa id application and legal action for perjury as provided by law. I hereby acknowledge that I have read and understand the Notice and Certification
above as well as have provided the required information which is correct and accurate to the best of my knowledge. Date OFFICIAL USE ONLY Total Fees: .§ 1-). -Fees Paid: Issue Date:q
. 1\ . \ 3 BalanceDU~ "I ~rb BlDGD~~~~~~~=-.~ _________________________ ___ APP~ ( o/-/u -Z0t5 DATE
GENERAL PERMIT CONDITIONS DOMESTIC WASTEWATER VAULT SYSTEMS AUTHORIZATION TO UTILIZE A VAULT SYSTEM UNDER THE GARFIELD COUNTY BOARD OF HEALTH "INDIVIDUAL SEWAGE DISPOSAL SYSTEMS REGULATIONS"
The Garfield County Board of Health "Individual Sewage Disposal Systems Regulations" adopted in 1994 pursuant to current guidelines of the state board and adopted in compliance with
Section 25-10-104(2), (3), and (4) C.R.S., shall govern all aspects of permits, performance, location, construction, alteration, installation, and use of individual sewage disposal systems
of less than 2,000 gallon per day design capacity. This permit specifically authorizes the entity(s) listed on page I of this document to install and utilize a vault system, as of the
effective dates stated on page I, in accordance with permit requirements and conditions set forth in part I hereof. Any vault system installation authorized herein shall be consistent
with the terms and conditions ofthe permit. SEPTIC PERMIT NUMBER SEPT-9-13-2987 WELL SITE LOCATIONS (APD#) Tepee Park Ranch-Pad 25 OPERATORS NAME Black Diamond Minerals LLC (Jamey Brumley)
A. GENERAL: Vaulted wastewater systems are not permitted in Garfield County for any facility that will generate 2000 gallons or more of wastewater per day. A vault system as permitted
by Garfield County is allowed only for limited use occupancy with a cumulative usage period ofless than one year and for occupancy of 24 or less people, only on property which cannot
accommodate a sewage treatment system. Vault systems are allowed on oil and gas well pads due to the limited development time frames and limitation of on site disturbance set by the
Colorado Oil and Gas Conservation Commission, the United States Forest Service and the Bureau of Land Management. A vault, as permitted by the local board of health, shall have a minimum
1000 gallon effective capacity. B. TERMS AND CONDITIONS I. Minimum, horizontal distances from the various components of a system to pertinent terrain features, including streams, lakes,
water courses, springs, wells, subsoil drains, cisterns, water lines, suction lines, gulches, dwellings, other occupied buildings and property lines, shall be in accordance with the
following "Table of Minimum Horizontal Distances". 2. No vault system shall be installed in a floodway. 3. When a system is installed in a I OO-year floodplain then the system shall
meet or exceed the requirements of the National Flood Insurance Program. The system as approved by the Garfield County Building Official or hislher designated agent shall be designed
to minimize or eliminate infiltration of floodwaters into the system, and discharge of the system into the floodwaters. 4. Only tanks that have been certified by the Colorado Department
of Public Health and Environment shall be used for a vaulted system. 5. All tanks shall be installed in accordance with the manufacturer's specifications. 6. Watertight vaults shall
not allow infiltration of groundwater or surface water and shall not permit the accidental or intentional discharge release of wastewater or liquids to the ground surface or to waters
of the state. 7. Vaults shall not have an outlet unless designed to flow to another tank in series for the purpose of increasing holding capacity. Such outlets shall be water tight.
8. Tanks shall be so constructed and installed as to withstand earth and hydrostatic pressures when filled and when empty. 9. In locations where groundwater may cause instability problems
to the vault due to flotation, the tank shall be anchored in a sufficient manner in order to provide stability when the tank is empty. The method of anchoring must be approved by the
Garfield County Building Official or hislher designated agent prior to installation. The local authority may require the design of the anchoring system to be prepared by a Registered
Professional Engineer. 10. Each vault unit shall be equipped with an access manhole located to permit periodic physical inspection and maintenance of all the tank and removal of the
waste contents. II. Components shall be so designed and constructed that when installed in accordance with manufacturer's recommendations, they shall be capable of being easily maintained,
sampled, drained, pumped, inspected and cleaned. 12. The surface of the ground over the vault system must be restricted to activity or use which will allow the system to function as
designed and which will not contribute to compaction of the soil or to structural loading detrimental to the capability of the vault to function as designed. 13. All metal surfaces shall
be properly coated to prevent corrosion. 14. Plumbing fixtures, grease traps, building sewers, vents, sewer lines and other appurtenances shall be designed, operated and maintained so
as to comply with the minimum requirements of the International Plumbing Code. IS. All wastewater lines used in individual sewage disposal systems shall be constructed of compatible
pipe, bonding agent, and fittings. 16. Where plastic pipe and fittings are used, the minimum wall thickness of the pipe shall conform to ASTM Standard D 3034, or equivalent. 17. All
electrical work, equipment, and material shall comply with the requirements of the National Electrical Code. 18. A signal device shall be installed to indicate when pumping is necessary.
19. The permittee shall provide for maintenance and cleaning of the vault system through a legal contract with a company experienced in the removal, proper handling, transport and proper
disposal ofthe vault contents. 20. Disposal of waste materials removed from a vault system in the process of maintenance or cleaning shall be accomplished at a site approved by Garfield
County in a manner which does not create a hazard to the public health, a nuisance or an undue risk of pollution and which complies with state and local rules and regulations. 21. When
the use of a vault system is terminated or the vault system is relocated, the contents of a vault shall be properly removed and disposed of and the emptied vault shall be filled with
soil or rock, or the Garfield County Building Official may allow the vault to be reused, removed and disposed of properly. C. RECORDS The Permittee shall establish and maintain records.
All records shall be maintained a public records and be made available to Garfield County or other third party upon request. Required records shall include, but not be limited to, the
following: • A copy ofthe permitees's current legal contract for removal of vault waste. • A copy of this permit. • The dates, location, and time of pumping tank contents; • The individual(s)
and company that performed tank pumping; • The volume of waste removed from the tank; • The location of disposal including a receipt from the receiving facility; • Any system repair
or maintenance performed including the reason for said repair or maintenance. D. CERTIFICATION OF AN APPROVED VAULT SYSTEM INSTALLATION The Permittee shall inform the Garfield County
Building Official in writing of any intent to construct, install, or alter any vault system, no greater than 48 hours after construction, and shall furnish the 2
Garfield County Building Department such plans and specifications to evaluate compliance with the Garfield County ISDS Regulations. E. REMOVED SUBSTANCES Solids, sludge's, or other pollutants
removed in the course of vault maintenance shall be removed and disposed of in a manner such as to prevent any of this material from discharging to the ground surface or from entering
waters of the State. For all domestic wastewater treatment works, the Permittee shall dispose of sludge in accordance with State (Regulation No. 64) and Federal (Section 405(d) of the
Act) regulations. The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in violation of this permit that has a reasonable likehood
of adversely affecting the public health or environment. Permittee shall maintain a copy of a service contract and any pumping and disposal records from the approved contracted systems
cleaner and submit such information when requested by the local regulatory authority. F. PERMIT VIOLATIONS Failure to comply with any terms and/or conditions of this permit shall be
a violation of this penni!. The surface discharge of any pollutant identified in this permit in a manner other than is authorized in this pennit shall constitute a violation of the pennit.
Permit violations will be subject to enforcement provisions as outlined in Section IV.H, IV.! and IV.N of the Garfield County Board of Health "Individual Sewage Disposal Systems Regulations".
Violations of the permit are the sole responsibility of the Permittee. G. ACCESS TO THE SITE For the purpose of inspection and enforcing applicable rules, regulations, terms and conditions
of any permit issued, the Garfield County Building Official or hislher designated agent is authorized to enter upon private property at reasonable times and upon reasonable notice for
the purpose of detennining whether or not operating sewage treatment systems are functioning in compliance with this pennit. 3
Ilack 1I8io NOIlh M~mm..P ea~ Soulh MnmmPe"k (il ' Direct ions to TPR #1 well (Black Diamond Minerals) ~nl~y . [ill] (illJ W0 ------------------------------~----~ 1 * Travel south from
Rifle -Co Rd 320 to 317 -Co Rd 317 to USFS 824 -USFS Rd 824 to "red gate" --travel past red gate to location (red gate is entrance to BDM private property) [lliJ l1W ~ iJJ61 "0 !/""o.
.. Iml I.llil ,.? j' ". l ~ [ill] Page 1 of 2 Map date ra20 13 Google . E
BLACK DWlOND MINERALS, LLC No drilling on this pad currently. Pad is currently used for storage and camp for rig crew. Trash will be disposed at Pad 25A in m~r--T'"-"7"":::~z:::-:"*;-;"&-wildlife
seAl.!: , ... 60' DAlE: OS-04-08 ORA'i.N BY: O.A.S. Rl l4u d: 01-02-100.R.e. "A" Change House (0) BLACK DlM/OND !.IIIIERA18, LLC CONSTRUCTION LAYOUT FOR WR ~'Eu. PAD 254 SECTION 25,
17S, R94W, 6th P.L4. SW 1/4 Sf 1/4 ,i'~'4-,j .... " SC A L E Is"".t 2 0/14/UrmAH E»CINBERJ"r; & LdJlD SURVEYING